Buckelew, Susan Phillips

Buckelew, Susan Phillips is an individual health care provider with primary practice located at 800 Zorn Ave , Louisville KY 40206-1433. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Buckelew, Susan Phillips can be contacted via phone (502) 287-4000.

Contact Information

Primary practice address
800 Zorn Ave Louisville KY 40206-1433
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 2347 Tennessee

Profile Details

NPI number 1154436723
LBN Legal business name Buckelew, Susan Phillips
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2006
Last updated Feb 3rd, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154436723 NPPES
Tennessee MEDICAID 3981661
Tennessee Other 3156394

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